University of Applied Sciences Berne School of Social Work (HSA Berne) Institute for Social Planning and Social Management (ISS). Pathological gambling: Barriers to treatment and the experience of self-change Jachen C. Nett and Sina Schatzmann.

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To explore the situation and perspectives of past and current problem gamblers in Switzerland with special reference to the implementation of the new casino legislation and to processes of “self-recovery” from pathological gambling

To get information about how the different prevention activities instigated by the casinos are valued by exponents of the target group

To create a baseline data set for the longitudinal observation of individual self-change processes among problem gamblers

Current problem/pathological gambling = gambling behaviour with currently negative consequences , former problem/pathological gambling = no or gambling behaviour with currently no negative consequences after having had gambling problems before

Different motivation to quit: Problem gamblers who fail to quit have less severe problems than problem gamblers who succeed in quitting

Different quitting plans: Problem gamblers who fail to quit have less strict quitting plans than problem gamblers who succeed in quitting

Different life events in the past twelve months before quitting: Problem gamblers who fail to quit and problem gamblers who succeed in quitting do not differ in the number of life events they experienced in the past twelve month before quitting. However the character of live events differs: Especially the actual or threatening loss of close social relationships seems to contribute to a successful quitting

Individuals without any experience with addiction related intervention suffer from less severe gambling problems than those with such an experience

„Social pressure“ as a motivation to quit is mentioned more often by auto-remitted gamblers (n=10) than by those who recovered with professional support (n=16). The latter group more often refers to the „omission of gambling possibilities“ as a motivation to quit

A detailed report is available at: http://www.hsa.bfh.ch/forschung/pdf/Schlussbericht_Spielsucht_Voll.pdf

At different stages of the project there was a cooperation with the Institute for Social and Preventive Medicine of the University of Zurich. The research team of this Institute on the other hand worked together with Dr A. Canziani, a practising psychiatrist specialised in treatment of gambling problems in Zurich

Financial support: The research received financial support from the department for health and social issues of the canton Bern, from the DO-REsearch –Program set up for Universities of applied sciences, and, from the Swiss Casinos Holding (DORE: Swiss National Funds and Office for Professional Education and Technology (BBT= Bundesamt für Berufsbildung und Technologie)